Active NPI
Charles B Walker, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1265780662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 94717
- Practice address
- 8929 S Sepulveda Blvd Ste 404
Los Angeles, CA 90045-3634 - Phone
- (310) 997-5396
- NPI assigned
- Aug 16, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ACSW 66649 | CA | |
| Mental Health Counselor | 101YM0800X | 94717 | ||
| Clinical Social Worker | 1041C0700X | 94717 | CA | Primary |
Addresses
Primary practice location
8929 S Sepulveda Blvd Ste 404
Los Angeles, CA 90045-3634
Mailing address
1327 E Crane CT
Compton, CA 90221-4931
Phone (310) 997-5496
Other practice location 1
765 W College St
Los Angeles, CA 90012-1181
Phone (310) 997-5496
Other practice location 2
8019 S. Compton Ave.
Los Angeles, CA 90001
Phone (323) 586-7333 ext. 7008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACSW 66649 | CA | MD | Mental Health Counselor |
| 94717 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644451200000",
"number": "1265780662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1327 E CRANE CT",
"city": "COMPTON",
"state": "CA",
"postal_code": "902214931",
"telephone_number": "310-997-5496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8929 S SEPULVEDA BLVD STE 404",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900453634",
"telephone_number": "310-997-5396"
}
],
"practiceLocations": [
{
"address_1": "765 W College St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900121181",
"country_code": "US",
"telephone_number": "310-997-5496",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8019 S. Compton Ave.",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "90001",
"country_code": "US",
"telephone_number": "323-586-7333 x7008",
"fax_number": "323-319-1979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALKER",
"first_name": "CHARLES",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-16",
"last_updated": "2022-02-10",
"certification_date": "2022-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ACSW 66649",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": "94717",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "94717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.